Individual provider Active NPI

Katherine Snodgrass Martin, M.D.

  • Dermatology Physician
  • Chapel Hill, NC
National Provider Identifier
1598296113
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2021-00738 Issued in NC
Practice address
2238 Nelson Hwy Ste 100
Chapel Hill, NC 27517-8914
Phone
(919) 401-1994
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X U3590 TX
Dermatology Physician 207N00000X 2021-00738 NC Primary

Addresses

Primary practice location

2238 Nelson Hwy Ste 100
Chapel Hill, NC 27517-8914

Mailing address

2238 Nelson Hwy
Ste 100
Chapel Hill, NC 27517-8914
Phone (919) 401-1994

Other practice location 1

17191 St Lukes Way Ste 210
Conroe, TX 77384-8043
Phone (281) 573-8333

Other practice location 2

508 Medical Center Blvd Ste 380
Conroe, TX 77304-2954
Phone (281) 573-8333

Other practice location 3

134 Vision Park Blvd Ste 200
Shenandoah, TX 77384-3032
Phone (281) 573-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003001263 TX Practitioner - Dermatology 4587064126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Sonabend MD PAGroup PAC ID 6901045665, 28 clinicians

Practice addresses (Care Compare)

508 Medical Ctr Blvd
Suite 380
Conroe, TX 77304-2954
Phone (281) 240-4313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions828
Removal or shaving of skin growth97
Skin biopsy190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2021-00738NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Sonabend M.D., P.a. Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Complete Labs PLLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

17191 St Lukes Way
Ste 210
Conroe, TX 77384
Phone (281) 573-8333

508 Medical Center Blvd
Ste 380
Conroe, TX 77304
Phone (281) 240-4313

134 Vision Park Blvd
Ste 200
Shenandoah, TX 77384
Phone (281) 573-8333

7616 Branford Pl
Ste 240
Sugar Land, TX 77479
Phone (281) 240-4313

Interoperability endpoints

  • Direct secure messaging: kmartin650542@directhoustonmethodist.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1598296113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 NELSON HWY",
            "address_2": "STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178914",
            "telephone_number": "919-401-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 NELSON HWY STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178914",
            "telephone_number": "919-401-1994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17191 St Lukes Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773848043",
            "country_code": "US",
            "telephone_number": "281-573-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 Medical Center Blvd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042954",
            "country_code": "US",
            "telephone_number": "281-573-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 Vision Park Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773843032",
            "country_code": "US",
            "telephone_number": "281-573-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHERINE",
        "middle_name": "SNODGRASS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "U3590",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2021-00738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.